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Project Details

E.W. "Al" Thrasher

Status: Funded - Open


Assessment of an electronic self-management tool on glycemic control in teens with type 1 diabetes

Mark Palmert, M.D., Ph.D.

Summary

BACKGROUND: Adolescents with type 1 diabetes mellitus (diabetes) need to obtain blood glucose (BG) levels as close to normal as possible to decrease diabetes-related complications, such as kidney disease and heart disease. Unfortunately, optimal BG control is very hard to achieve. It requires frequent measurement of BG levels, detailed analysis of the results, and continued adjustments of the treatment plan.
GAP: Because it is not feasible for adolescents with diabetes to be in daily contact with their doctors and nurses, they must learn to self-manage their diabetes.  The proposed study will test a novel, mobile phone-based system called bant, which is different from current web-based and mobile “electronic logbook” systems because it uses prompts to guide the adolescent through analysis of BG data and the changes in treatment that are needed. 
HYPOTHESIS: The use of bant will encourage adherence to care plans and improve BG control among adolescents (age 12-16 yrs) with diabetes.
METHODS: Conduct a randomized trial to test bant for 12 months in 43 adolescents with diabetes, aged 12-16 years, and compare BG control and diabetes self-care to 43 adolescents with diabetes who are receiving care as usual.

RESULTS: Pending
DISCUSSION: If used regularly to identify BG trends and to identify needed changes in treatment, bant may lead to improved BG control in adolescents with diabetes and ultimately result in better health-related outcomes.

Keywords:
Diabetes, Treatment, Human, Randomized Clinical Trial










Supervising Institution:
The Hospital for Sick Children

Project Location:
Ontario

Award Amount:
$435,700

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